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LO, Rigid Anterior and Posterior Panels, Off-the-Shelf

Rhode Island rates for HCPCS L0642

Lumbar orthosis (LO), sagittal control, with rigid anterior and posterior panels, posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated October 2026.

How much does LO, Rigid Anterior and Posterior Panels, Off-the-Shelf cost?

$263

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $708 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$229 to $302
FacilityA hospital or hospital-owned outpatient department$708$646 to $871

How much rates vary

Facilitymedian $708 · 10th to 90th $490 to $1,000Professionalmedian $263 · 10th to 90th $200 to $398
$200$500$1Kfacility $708professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$35.48
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.44
Median
$30.20
Typical High
$30.20
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$707.95
Typical High
$1,000.00
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$263.03
Typical High
$338.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
United
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$302.00
Typical High
$398.11

Where Rhode Island sits

The same service costs 2.6 times more in Hawaii than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 26th of 51

$263

HI $490UT $191

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.